Individual
JEREMY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 993-4702
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(612) 432-3235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12109
MN
2251X0800X
Orthopedic Physical Therapist
1309532
TX
Other
Enumeration date
10/06/2020
Last updated
12/15/2020
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